Active NPI
Optio, PLLC
- Audiologist
- Southlake, TX
National Provider Identifier
1154888196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- OPTIO, PLLC
- Practice address
- 2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533 - Phone
- (817) 873-6810
- Fax
- (817) 766-7026
- NPI assigned
- Feb 26, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joely Kate Anderson
- Title
- General Manager
- Phone
- (940) 782-6598
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Audiologist | 231H00000X | Primary |
Addresses
Primary practice location
2211 E Southlake Blvd Ste 525
Southlake, TX 76092-1533
Mailing address
2007 Irving PL
Wichita Falls, TX 76308-2031
Phone (940) 782-6598
Other names 1
- Eyes & Ears
National Provider Directory
National Provider DirectoryLocations
2211 E Southlake Blvd
Southlake, TX 76092
Phone (940) 691-5645
2211 E Southlake Blvd
Ste 525
Southlake, TX 76092
Phone (817) 873-6810
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Fort Worth, TX
- NPI 1467932558
-
- Optometrist
- Wichita Falls, TX
- NPI 1720123441
-
- Otolaryngology Physician
- Wichita Falls, TX
- NPI 1285845586
-
- Audiologist
- Southlake, TX
- NPI 1306338645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551139200000",
"number": "1154888196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 IRVING PL",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763082031",
"telephone_number": "940-782-6598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 E SOUTHLAKE BLVD STE 525",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760921533",
"telephone_number": "817-873-6810",
"fax_number": "817-766-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JOELY",
"authorized_official_middle_name": "KATE",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "940-782-6598",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Audiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyes & Ears",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.